FORM 1023-EZ for ALEC BRONCHUK MEMORIAL FOUNDATION

Field Data
EIN 84-3332937
Case Number EO-2019347-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEC BRONCHUK MEMORIAL FOUNDATION
Organization’s Mailing Address 154 CAMP SARGENT ROAD
City MERRIMACK
State NH
ZIP 03054
Accounting period End 12
Primary contact name ALEXANDER S BUCHANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BRONCHUK
PRESIDENT
154 CAMP SARGENT ROAD
MERRIMACK NH 03054

Officer/Director/Trustee Two

PHILIP J BRONCHUK
SECRETARY
154 CAMP SARGENT ROAD
MERRIMACK NH 03054

Officer/Director/Trustee Three

SEAN DONAHUE
TREASURER
6 FOSSA AVENUE
NASHUA NH 03060

Officer/Director/Trustee Four

JESSE BRONCHUK
VICE PRESIDENT
154 CAMP SARGENT ROAD
MERRIMACK NH 03054

Officer/Director/Trustee Five

ALEXANDER S BUCHANAN
OFFICER
5 HIGHLAND DRIVE
AMHERST NH 03031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE BRONCHUK
Signature Title PRESIDENT
Signature Date 12/11/2019

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